Senior Claims Manager - Employment Practices Liability (EPL)

About this role

Role Summary
This is a senior-level claims and litigation management role focused specifically on Employment Practices Liability (EPL) within a healthcare-related environment. The person in this role will own assigned EPL claims end-to-end — determining coverage, investigating allegations, assessing liability and financial exposure, directing defense counsel, negotiating settlements, and reporting significant claims and risk trends to senior leadership.
This is not a general HR or general claims processing position. It requires someone who has directly handled EPL matters (as a claims professional or as an attorney defending employers) and who understands the full lifecycle of a legal claim, from initial investigation through litigation and resolution.
Key Responsibilities

• Manage assigned EPL claims from initial investigation through final resolution

• Analyze and determine whether claims are covered, identifying any coverage issues

• Investigate allegations by interviewing/corresponding with attorneys, employees, witnesses, and business stakeholders

• Assess potential legal and financial exposure for the organization

• Work with and direct defense counsel on litigation strategy and activities

• Negotiate settlements and claim resolutions with defense counsel, plaintiff attorneys, and stakeholders

• Determine when claims should be denied, settled, or otherwise resolved

• Report significant claims, exposure, and trends to senior leadership with recommendations

• Coordinate referrals and updates with reinsurers

• Monitor and attend (as needed) cases proceeding to mediation, arbitration, or trial

• Identify risk trends and recommend strategies to reduce future loss exposure

Requirements

• 10+ years of experience in Employment Law, Risk Management, Insurance, or related Employment Practices Liability work

• Direct experience handling EPL claims as a claims professional, or defending EPL claims as an attorney

• Strong understanding of the claims/litigation lifecycle: investigation, coverage, liability assessment, litigation, negotiation, and resolution

• Strong negotiation skills with defense counsel, plaintiff attorneys, business stakeholders, and insurance/reinsurance parties

• Strong legal/risk judgment in evaluating liability likelihood and potential financial exposure

• Bachelor's degree

• Experience managing or directing outside defense counsel in employment-related litigation

• Experience presenting significant claims, exposure, or trends to executive leadership

• Experience in a healthcare organization (preferred)

• Experience handling management liability claims such as D&O or professional liability alongside EPL (preferred)

Originally posted on Himalayas